Abstract:
Background: Even though partograph has great importance on reducing maternal and neonatal
mortality due to prolonged and obstructed labor, it is not widely used in many countries. Finding
of the studies conducted in Ethiopia filled the gap related with factors affecting partograph
utilization among respondents but some factors such as pre service training on partograph and level
of education were not studied well in our country.
Objective: To determine the level of partograph utilization and associated factors among obstetric
care providers at public health facilities in Hadiya Zone, Southern Ethiopia, 2019.
Methods: Facility based cross sectional study was employed from March 04- April 07, 2019.
Single population proportion formula was used to estimate the sample size and it was 436. Simple
random sampling method was carried out to select 19 health facilities and 436 participants at the
primary level and at the secondary level respectively. Data was collected by six trained data
collectors and entered into Epidata version 3.1 statistical packages and exported to SPSS version
20.0 for analysis. Binary logistic regression analysis was used to see the association between
variables. The lack of fitness of the regression model was tested using the Hosmer-Lemeshow
goodness of fit. Independent variables with a p-value of less than 0.25 at the bivariate analysis
were entered into the multivariable logistic regression model.
Results: The overall magnitude of partograph utilization was found to be 54.4%.and finding from
data abstraction from document revealed that out of 18 parameters only 10 parameters were
recorded completely. Type of health facility (hospital as compared to HC) (AOR=2.96, CI= (1.71,
5.12)), received on job training on partograph (AOR=7.06, CI= (4.3, 11.37)), knowledgeable about
partograph (AOR=2.12 CI=1.3, 3.9)) and favorable attitude toward partograph use (AOR=1.8,
CI=1.12-2.97) were significantly associated with partograph use
Conclusion and Recommendation: Over all partograph utilization was low and incomplete
recording of required parameters on partograph was observed in this study. Participants who
received on job training on partograph, who are working in hospital, knowledgeable about
partograph and who have favorable attitude toward partograph use were factors affecting
partograph use positively. On job training on partograph and working to improve knowledge and
attitude of the obstetric care providers toward partograph utilization were recommended.
